Moore, Micheal

Moore, Micheal is an individual health care provider with primary practice located at 104 W 4Th St , San Bernardino CA 92415-3222. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moore, Micheal can be contacted via phone (909) 382-7880.

Contact Information

Primary practice address
104 W 4Th St San Bernardino CA 92415-3222
Phone: (909) 382-7880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1902277692
LBN Legal business name Moore, Micheal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Sep 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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